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1790150498
STEFANI R FORD
BENTON, AR
NPI
1790150498
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Former Name
STEFANI R PERRY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: AR PA-626)
Enumeration Date
2015-12-07
Last Update Date
2015-12-07
Business Address
Mrs. STEFANI R FORD PA-C
1000 HIGHWAY 35 N SUITE 8
BENTON, AR 72019-2351
Phone number: 501-315-4008
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Mailing Address
Mrs. STEFANI R FORD PA-C
PO BOX 2860
BENTON, AR 72018-2860
Phone number: 501-315-4008
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